Organization Active NPI

Freedom Kids Academy

  • Behavior Analyst
  • Boca Raton, FL
National Provider Identifier
1790438968
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FREEDOM KIDS ACADEMY
Practice address
9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628
Phone
(561) 826-3207
NPI assigned
Jan 28, 2022
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ezequiel ValdesNPI 1710575790
Title
Owner
Phone
(813) 850-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628

Mailing address

9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628
Phone (561) 826-3207

National Provider Directory

National Provider Directory
Tax ID family
Freedom Kids Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1790438968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 MARINA BLVD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286628",
            "telephone_number": "561-826-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 MARINA BLVD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286628",
            "telephone_number": "561-826-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM KIDS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-850-2197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.